HomeMy WebLinkAboutMortgage_McBee"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNESS Coun
FOR DEDUCTION FROM ASSESSED VALUATION
� Slate Form 43709 (R71/6-09)
� PresrriEed by Departrtcnt of Loral Goremme�ri Fu�arce
w.
wsrnucnoNS:
7o be filed in person w 6y mail with the Counry Auditor or Counry RecoNer o! Ne counry whe2 the property is located.
Filing Dates: 7) Real Property Must fila dunng the }rear for which Na deduction is sought.
2) Mobi7e / Manufecfured Homes not assessed as Real Property Must h7e during fhe tweNe (12) monfhs
6efore March 37 of each year Ne deducbon is sayht.
See reverse side m{ addiliona/ insfi�cfions and qualifications.
AvseGsed vahie af rral P�PeN as of Moitpa9e / ContraU u
Mei� 7, qimrt ym March 1, a�rtml yeer
If m, what's his 1 hu e�aU shafe ot Nterest?
If rume m femd's QiReren[ than that o( app�cant, 6Miate bebr'
� �ID
or mntract seAer (numb6r and street �1: smte.
A� g�,�,ty�'°u
❑ Counry Recorder
Recp�d number Page numbu
v- v . l$o-� �o�o q
tlnrss unpaid as W Morigaqe I Contrarl @Webtedness unpaitl av d Is Ne epp�ant Me sale
Eate of ap � a W��� �
,� �Y�n n Y� ❑ No
someo�re othrl �han
IS IhC PIOQ2f[Y VI QIICS�Of1: /111N180'/ �
❑ Reel PfoP�'KY ❑ ��Y�
Aloble F�iorr�e (IC 6
Name of assignee a oCrei wqf��halAer � 9Y / ( / _ � ' / ^ /. / (� i / l�
� / O�
Address of atdgrree (num6er aM stree4 �3; s(ete, ard LP code)
Dces epplirvm wm poperty in any other If yes, what munyl Wlat Ta�dfg D¢triG7 Has Cus dedumon been rtquested m Oroperty
munry ui InOena? ❑ Yes ❑ NO far ame�rt Y�' � Yes ❑�
apywed 41 tlte amouM ot.
zo_ zo_ zo_ zo_
Signahae d Can:ry Audimr ��b
� 1/ We cerGfy urder the penalty M perjury that the above arW foregoing infortnalion is trt�
owner 1 contrad buyer of Ne aforeme�rooned pmperry on date appiintion is filed.
1 Sig (nxners re )
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� t addrnss or avW'Kant (wmnerara saeet �1: sa�, and z�a mee)
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ae�sa, awro(�a ey aWr ueattee vb.Rr Atmmer «M � �.�-� zo.7
Md�ss of auUnm� prlson (num6rraM sbee; tity, state. antl LP mde) .
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Qare (rtnntn. day,